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QJM 2005 98(4):299-304; doi:10.1093/qjmed/hci042
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The Author 2005. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Commentary

Democracy and health

J.P. Ruger

From the Yale University School of Medicine, Department of Epidemiology and Public Health, New Haven, USA

The first 150 words of the full text of this article appear below.


   Political institutions and health
 
Scholars of population and global health have grappled for decades with the complex relationship between health and its determinants. This growing literature has taught us much about proximal and distal health determinants, especially those in the socio-economic realm. Economics as it relates to health, in particular, has received considerable and recent investigation,1 but mounting evidence suggests that a country's economic status alone cannot entirely explain differences in health and health policy.2–8 Thus, societies with similar levels of economic development, such as Afghanistan and the Indian state of Kerala, can have radically different levels of health and health system development. It is therefore important to extend our analysis to broader structural factors, such as political institutions, to better understand global health inequalities. A country's political structure affects virtually every aspect of society, including health.

There are few studies on the relationship between political institutions and health, at both theoretical and empirical . . . [Full Text of this Article]


   A philosophical framework linking democracy and health
 

   China's famine of 1958–1961
 

   Why China mishandled SARS
 

   Looking ahead: averting an HIV/AIDS epidemic
 

   Conclusion
 

Address correspondence to Dr J.P. Ruger, Yale University School of Medicine, Department of Epidemiology and Public Health, 60 College Street, Suite 316, P.O. Box 208034, New Haven, CT 06520–8034, USA. email: jennifer.ruger@yale.edu


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